Andrews Foundation

Andrews Foundation Grant Application

 Andrews Foundation

Grant Application

 

 

1. Organization's Name:_____________________________________Date:______________

 

2. Address:________________________________________________________________

    City:_______________________ State :_____________ Zip:________________

3. Contact Person & Title_______________________________

 

     Phone #:_______________________________________

4. Director of Organization:_________________________________________________

     

    Phone # :_______________________________________

5. Total Agency Budget:_______________________________________

    

    Program Budget:________________________________________ 

    Amount Requested:______________________________________

6. Project Title:__________________________________________________________

    Project start date:___________________________________________________

7. Funding requested for an ongoing or new program for your organization? Yes____ No____

 

8. For entire organization:

 

    Fund raising costs :__________________%

    

    Administrative costs or other overhead______________ %

9.What percentage of our donated dollar is allocated for charitable cause:_______________%

10. Type of request:

 

                    ____ General support                     ____ Start-up costs

                        

                    ____Specific Project support           ____ Technical assistance

          ____ Endowment                            ____ Capital expenditures

 

          ____ Other ( please describe)

11. Principal sources of support:

_____% United Way                              _____% Government contracts

_____% Foundations/corporations         _____% Earned income

_____% Individual contributions            _____% Private Community

13. Previous funding from the Andrews Foundation? Yes ____ No ____

     

      Date:_____________________

14. PURPOSE OF REQUEST (See attached guidelines)

 

 

 

 

 

15. LIST ANY OTHER ORGANIZATIONS IN THE AREA WITH A PURPOSE SIMILAR TO YOUR ORGANIZATION AND DESCRIBE COLLABORATION, IF APPROPRIATE.

 

 

 

 

 

16. Please enclose the following information with this application:

-Current Board of Directors

-Current audited financial report.

-An applicant must have obtained a 501(c)(3) determination
letter prior to submitting an application and must include a
copy with this application.

 

 

Meeting with the Andrews Foundation

On occasion, the Andrews Foundation welcomes the opportunity to meet with potential grantees by making a site visit. We prefer, however, to postpone such meetings until after the grant application is reviewed in order to determine if the meeting will be fruitful.

 

 

 

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